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SUNIL SHAH
BOND KING

AMINO ACIDS AND PROTEINS
BASIC STRUCTURES
     An amino acid contains:
        a central carbon bonded to a carboxyl group (-COOH),

        an amino group (NH2), an

        R-group, and

        a hydrogen.

     The R-group is what varies between the 20 amino acids and
      gives them unique characteristics.
     The covalent bonds between amino acids are called peptide
      bonds.
        It is a bond between the carboxyl group of one amino acid
          and the amino group of another amino acid.
Abbre
      Full Name       Side chain type                           Remarks
  v.
                                        Very abundant and versatile. It behaves fairly
                                        neutrally and can be located in both hydrophilic
A Ala Alanine      hydrophobic
                                        regions on the outside of the protein and
                                        hydrophobic interior areas.
                                        The sulfur atom binds readily to heavy metal ions.
                                        Under oxidizing conditions, two cysteines can be
                                        joined together by a disulfide bond to form the amino
                                        acid cystine. When cystines are components of a
                                        protein, they enforce tertiary structure and makes
                   hydrophobic (Nagano, the protein more resistant to unfolding and
C Cys Cysteine
                   1999)                denaturation; disulfide bridges are therefore
                                        common in proteins that have to function in harsh
                                        environments, digestive enzymes (e.g., pepsin and
                                        chymotrypsin), structural proteins (e.g., keratin), and
                                        proteins too small to hold their shape on their own
                                        (eg. insulin).
                                        Behaves similarly to glutamic acid. Carries a
                                        hydrophilic acidic group with strong negative charge.
        Aspartic                        Usually is located on the outer surface of the protein,
D Asp              acidic
        acid                            making it water-soluble. Binds to positively-charged
                                        molecules and ions, often used in enzymes to fix the
Side chain
Abbrev. Full Name                                             Remarks
                       type
                             Phenylalanine, tyrosine, and tryptophan contain large rigid
                             aromatic group on the side chain. These are the biggest
       Phenylala
*F Phe           hydrophobic amino acids. Like isoleucine, leucine and valine, they are
       nine
                             hydrophobic and tend to orient towards the interior of the
                             folded protein molecule.
                                Because of the two hydrogen atoms at the α carbon, glycine is
                                not optically active. It is the smallest amino acid, rotates easily,
G Gly Glycine       hydrophobic
                                and adds flexibility to the protein chain. It is able to fit into the
                                tightest spaces (e.g., the triple helix of collagen).
                              In even slightly acidic conditions, protonation of the nitrogen
                              occurs, changing the properties of histidine and the
                              polypeptide as a whole. It is used by many proteins as a
*H His Histidine basic        regulatory mechanism, changing the conformation and
                              behavior of the polypeptide in acidic regions such as the late
                              endosome or lysosome, enforcing conformation change in
                              enzymes.
                              Isoleucine, leucine and valine have large aliphatic hydrophobic
                              side chains. Their molecules are rigid, and their mutual
                              hydrophobic interactions are important for the correct folding
*I Ile Isoleucine hydrophobic
                              of proteins, as these chains tend to be located inside of the
                              protein molecule.
Side chain
Abbrev. Full Name                                            Remarks
                        type

                                  Behaves similarly to arginine. Contains a long flexible side-
                                  chain with a positively-charged end. The flexibility of the chain
                                  makes lysine and arginine suitable for binding to molecules
                                  with many negative charges on their surfaces. (e.g., DNA-
*K Lys Lysine       basic
                                  binding proteins have their active regions rich with arginine
                                  and lysine.) The strong charge makes these two amino acids
                                  prone to be located on the outer hydrophilic surfaces of the
                                  proteins.

*L Leu Leucine      hydrophobic   Behaves similar to isoleucine and valine.

                                  Always the first amino acid to be incorporated into a protein;
                                  sometimes removed after translation. Like cysteine, it
                                  contains sulfur, but with a methyl group instead of hydrogen.
*M Met Methionine hydrophobic
                                  This methyl group can be activated, and is used in many
                                  reactions where a new carbon atom is being added to
                                  another molecule.

N Asn Asparagine hydrophilic      Neutralized version of aspartic acid.
Side chain
Abbrev. Full Name                                             Remarks
                        type


                                Contains an unusual ring to the N-end amine group, which
                                forces the CO-NH amide sequence into a fixed conformation.
                                Can disrupt protein folding structures like α helix or β sheet,
P Pro Proline       hydrophobic
                                forcing the desired kink in the protein chain. Common in
                                collagen, where it undergoes a posttranslational modification
                                to hydroxyproline. Uncommon elsewhere.



                                  Neutralized version of glutamic acid. Used in proteins and as
Q Gln Glutamine hydrophilic
                                  a storage for ammonia.

*R Arg Arginine     Basic         Functionally similar to lysine.


                                  Serine and threonine have a short group ended with a
                                  hydroxyl group. Its hydrogen is easy to remove, so serine
S Ser Serine        Hydrophilic   and threonine often act as hydrogen donors in enzymes. Both
                                  are very hydrophilic, therefore the outer regions of soluble
                                  proteins tend to be rich with them.
Side chain
Abbrev. Full Name                                      Remarks
                          type


*T   Thr   Threonine hydrophilic    Behaves similarly to serine.


                                    Behaves similarly to isoleucine and leucine.
*V Val     Valine     hydrophobic
                                    See isoleucine.

                                    Behaves similarly to phenylalanine and
*W Trp     Tryptophan hydrophobic   tyrosine (see phenylalanine). Precursor of
                                    serotonin.


                                    Behaves similarly to phenylalanine and
Y    Tyr   Tyrosine   hydrophobic   tryptophan (see phenylalanine). Precursor of
                                    melanin, epinephrine, and thyroid hormones.
GENERALITIES

Classification      Neutral
•   Neutral       •   Aliphatic
                  •   Aromatic
•   Acidic
                  •   Heterocyclic
•   Basic         •   S-containing AA
GENERALITIES - NEUTRAL
A.    Aliphatic                            Hydroxy Amino Acids – they contain
                                            OH group in the side chains
1.     Glycine (Gly) (G) – alpha–
       amino acetic acid                   6. Serine (Ser) (S) or alpha – amino
                                            β – hydroxy propionic acid
2.     Alanine (Ala) (A) – alpha –         7. Threonine (Thr) (T) or alpha –
       amino propionic acid                 amino β – hydroxybutyric acid
3.     Valine (Val) (V) – alpha–
       amino – iso – valeric acid
4.     Leucine (Leu) (L) – alpha –
       amino – iso – caproic acid
5.     Isoleucine (Ile) (l) – alpha –
       amino – B – methyl valeric
       acid

      Above = Simple monoamino
       monocarboxylic acids
GENERALITIES
   B. Aromatic                     C. Heterocyclic AA
   8. Phenylalanine (Phe) (F)      10. Tryptophan (Trp) (W) –
    or alpha – amino – β –           alpha – amino β – 3 – indole
    phenyl propionic acid            propionic
                                                - often considered
   9. Tyrosine (Tyr) (y) or         as aromatic AA since it has
    parahydroxy                      aromatic ring in its structure.
    phenylalanine or alpha –        11. Histidine (His) (H) –
    amino β – parahydroxy            alpha – amino – β -
    phenylpropionic acid             imidazole propionic acid

                                    Histidine is basic in solution
                                     on account of the imidazole
                                     ring and often considered as
                                     Basic AA
GENERALITIES
   D. Imino Acids                        E. „S‟ containing Amino Acids
   12. Proline (Pro) (P) or                    - contains 2 sulfur containing
                                           AA
    Pyrrolidone – 2 – carboxylic
    Acid
                                          14. Cysteine (Cys) (C) or alpha –
   13. Hydroxyproline (Hyp) or 4 –        amino – β – mercaptopropionic
    Hydroxy pyrrolidone – 2 –              acid
    carboxylic acid                            S – S linkage is called a
                                           Disulfide bridge

   Proline & Hydroxyproline do           15. Methionine (Met) (M) or alpha
    not have a free _NH2 group but         – amino y – methylthio - - butyric
    only a basic pyrrolidone ring in       acid
    which the Nitrogen of the Imino
    group is in ring but can still
    function in the formation of
    peptides.
     Are called Imino Acids.
GENERALITIES - ACIDIC
   II. Acidic AA
       - AA with 2 _COOH groups and 1 _NH2 group
       - monoaminodicarboxylic Acids
   16. Aspartic Acid (Asp) (P) or alpha – amino succinic acid
      Asparagine (Asn) (N) or delta amide of alpha – amino
    succinic acid
   17. Glutamic Acid (Glu) (E) or alpha aminoglutaric acid
     Glutamine (Gln) (Q) – amide of glutamic acid or 8 –
    amide of alpha – amino glutaric acid
GENERALITIES - BASIC
     III. Basic AA
                 - AA with 1 – COOH group and 2 – NH2
      groups
                 - Diamino monocarboxylic acids

     18. Arginine (Arg) (R) or alpha – amino – 8 – guanidino
        - valeric acid
     19. Lysine (Lys) (K) or alpha – E diamino
                       8 – hydroxy - - valeric acid

     As already mentioned Histidine – is also classified as
      Basic AA
GENERALITIES

 Classificationof Amino Acids
  based on polarity
 of the R group:
   •   4 groups

   •    Polarity  reflects the
       functional role
       of AA in protein structure
GENERALITIES
  1. Non-polar AA

      • hydrophobic (water hating)

      • No charge on the ‘R’ group

      • Examples are:

          Alanine    Methionine
          Leucine
          Phenylalanine
          Isoleucine
          Tryptophan
GENERALITIES
   2. Polar AA with (+) ‘R’ group
         •   carries (+) charge
         •   Examples:
                Histidine         Arginine
             Lysine

   3.   Polar AA with (-) ‘R’ group
         • carries (-) charge
         •   Examples:
                Glutamic Acid
             Aspartic Acid
GENERALITIES
   4. Polar AA with no charge
     on ‘R’ group
      • no charge on the ‘R’ group

      •   possess groups        hydroxyl
                                 sulfhydryl
                                 amide
      •   participate in hydrogen bonding of
      •    protein structure
           • Examples:

              Asparagine Glycine        Cysteine
              Tyrosine   Serine         Threonine
GENERALITIES
       Zwitterion or dipolar ion:


        Zwitter
               from German word – means

      “hybrid”

         Zwitter ion (or dipolar ion)
                a hybrid molecule containing
      (+)   and (-) ionic groups
GENERALITIES
   AA rarely exist in a neutral form with free
   carboxylic (-COOH) and free Amino (-NH2)
   groups

   Strongly acidic pH (low pH)  AA (+)
                           charged (cation)

   Strongly alkaline pH (high pH)  AA (-)
                            charged (anion)

   Each AA has a characteristic pH (e.g. Leucine,
   pH – 6.0), at which it carries both (+) and (-)
   charges and exist as zwitterion
GENERALITIES
       Isoelectric   pH (symbol pI)

     the pH at which a molecule exists as a
      Zwitterion or dipolar ion and carries
      no net charge

     Molecule is electrically neutral
GENERALITIES
                  Tryptophan

                                       Histidine    Arginine   Leucine
    Valine



Phenylalanine    PVT             TIM           HALL             Lysine


                Threonine              Methionine


                               Isoleucine



                                 Essential Amino Acids
Essential Amino Acids (Body cannot make these amino acids, they must come
from food or amino acid supplements.)
                          Min.
                          Dail Acid
                          y    Base # of pathways - One Generate Works
   Amino Acid Sym Abbr mg Neu. Pathway                       s   With  Augments
                                     1 - threonine -->
1 Isoleucine* I     Ile   10   n                             -   -     muscles
                                    isoleucine
                                                                       blood,
                                     1 - keto-isovalerate --
2 Leucine*     L    Leu 14     n                             -   -     muscle,
                                    > leucine
                                                                       hormone
                                                                                         herpes,
3   Lysine         K     Lys   12    B      2 - asparate --> lysine -          calcium
                                                                                         triglycerides
                                           7 - homoserine -->                  seleniu hair, skin,
4   Methionine     M     Met 13      n                              cysteine
                                           methionine                          m, zinc chelator
    Phenylalanin                           3 - chorismate -->
5                F       Phe 14      n                              tyrosine   B6        depression
    e                                      phenylalanine
                                                                                         collagen,
                                            3 - aspartate -->       glycine,
6   Threonine      T     Thr   7     N                                         -         tooth
                                           threonine                serine
                                                                                         enamel
                                            1 - chorismate -->      niacin,
7   Tryptophan     W     Trp   3.5   n                                         -         depression
                                           tryptophan               seratonin
8   Valine*       V     Val 10     n        1 - pyruvate --> valine -          -         muscles
      Food Sources: Fish - meat - poultry - cottage cheese - peanuts - lentils
      A= acid, B= base, N= Neutral, n= non-polar
Non-Essential Amino Acids (The body can make these amino acids from the above essential amino
acids.)
                                 Min. Acid
                                 Daily Base # of pathways - One
    Amino Acid Sym.      Abbr    mg. Neu. Pathway                             Generates     Works With Augments
                                            4 - valine pyruvate -->
1   Alanine      A       Ala     -     n                                      -             -            -
                                            alanine
                                                                                                          immune,
                                                                              polyamines,
2   Arginine*    R       Arg     -      B      4 - citrulline --> arginine                  zinc (lysine) healing,
                                                                              creatine
                                                                                                          muscles
3   Asparagine N         Asn     -      N      3 - asparate and ammonia -                   -            CNS
    Aspartic
4                D       Asp     -      A      3 - glutamate --> aspartate -                -            CNS, brain
    Acid
                                                                              homocysteine
5   Cysteine     C       Cys     -      N      4 - serine --> cysteine                     B6, Vit.E     skin, hair
                                                                              , taurine
    Glutamic                                   3 - ketoglutarate -->          glutamine,
6                E       Glu     -      A                                                  B6            brain
    Acid                                       glutamate                      GABA
7   Glutamine    Q       Gln     -      N      2 - glutamate --> glutamine -                -            brain
                                                                                            GABA,
8   Glycine      G       Gly     -      N      2 - serine --> glycine         glutathione                body protein
                                                                                            taurine
                                                                                                         blood, allergy,
9   Histidine*   H       His     -      B      1 - histidinol --> histidine   histamine     -
                                                                                                         sex
                                                                             hydroxyprolin               collagen,
10 Proline       P       Pro     -      n      4 - l-glutamine --> proline                 Vitamin C
                                                                             e                           elastin
                                                 1 - phosphoglycerate -->    cysteine,
11 Serine       S      Ser       -      N                                                  choline       blood sugar
                                                serine                       glycine
                                                 2 - phenylalanine -->       thyroxin,
12 Tyrosine     Y      Tyr       -      N                                                   B6           thyroid
                                                tyrosine                     melanin
       * = These are Essential for infants, since their bodies cannot produce them yet.
Other Amino Acid Factors
                                                       Lysine,
                              carnitine -->                                fat
- Carnitine -    Car -   -                             methionin Vitamin C
                              butyrobetaine -->                            metabolism
                                                       e

                               argenine --> citrulline
- Citrulline -   Cit -   -                             Ornithine zinc       urea cycle
                              --> ornithine

    Hydroxy      Hy           proline -->
-           -       -    -                             -         Vitamin C collagen
    proline      p            hydroxyproline

                 Or            argenine --> citrulline
- Ornithine -       -    -                             -         -          urea cycle
                 n            --> ornithine

                               methionine -->          GABA,
- Taurine    -   Tau -   -                                       B6         heart, bile
                              cysteine --> taurine     glycine

         The above are precursors for, or important products of, the 20 "true" amino acids
listed above.
AMINO ACID SYNTHESIS
     ALL ARE SYNTHESIZED FROM COMMON
      METABOLIC INTERMEDIATES

     NON-ESSENTIAL
       Transamination of  -KETOACIDS that are
        available as common intermediates
         All except tyrosine are derived from one of the
          following common intermediates: pyruvate,
          oxalacetate, -KG, 3-phosphoglycerate
     ESSENTIAL
        Their -KETOACIDS are not common
        intermediates (Enzymes needed to form them
        are lacking)
Amino Acids     Glucogenic   Glucogenic and      Ketogenic
A
                                        Ketogenic
m      Non-Essential   Alanine        Tyroxine
i      AA              Asparagine
n
o                      Aspartate
A                      Cysteine
c                      Glutamate
i
d                      Glutamine
M                      Glycine
e                      Proline
t
a
                       Serine
b
o      Essential AA    Arginine       Isoleucine       Leucine
l
                       Histidine      Phenylalanine    Lysine
i
s                      Methionine     Tryptophan
m                      Threonine
                       Valine

Glucogenic – amino acids that give rise to pyruvate and
citric acid cycle intermediates that can be turned into
glucose
Ketogenic – amino acids that give rise to acetoacetate and
AMINOACIDOPATHIES
TYROSINEMIA
   DEFECTIVE PROCESS: AMINO ACID TRANSPORT – EXCRETION
    OF TYROSINE AND TRYPTOPHAN CATABOLITES IN URINE
   DEFECTIVE ENZYME:
•   TYROSINE AMINOTRANSFERASE (II);
•   4-HYDROXY-PHENYLPYRUVATE OXIDASE (III);
•   FUMARYLACETOACETATE HYDROLASE (I)
ALKAPTONURIA
     DEFECTIVE PROCESS: TYROSINE
      DEGRADATION
     DEFECTIVE ENZYME: HOMOGENTISATE-
      1,2-DIOXYGENASE
  •    Original “inborn error of metabolism
  •    Darkening of urine at long standing
  •    OCHRONOSIS – generalized pigmentation of
       tissues and arthritislike degeneration
PHENYLKETONURIA
   DEFECTIVE PROCESS: CONVERSION OF
    PHENYLALANINE TO TYROSINE
   DEFECTIVE ENZYME: PHENYLALANINE
    HYDROXYLASE (Phenylalanine-4-mono-oxygenase)
   An autosomal recessive trait – urine has a musty
    odor
   Compounds seen in both urine and blood:
   Phenylpyruvic acid – primary catabolite
   Phenyllactic acid – product of deaminzation
   Phenylacetylglutamine – produced from oxidation of
    phenylpyruvic acid
PHENYLKETONURIA
     NOT RESPONSIVE TO DIET: DEFICIENCY OF ENZYME S NEEDED FOR
      THE REGENERATION AND SYNTHESIS OF TETRAHYDROBIOPTERIN
      (BH4)
       • High phenylalanine and deficiency of production of neurotransmitters
          from tyrosine and tryptophan
       • Administration of L-dopa and 5-OH tryptophan

     SCREENING: GUTHRIE BACTERIAL INHIBITION ASSAY – B. subtilis +
      β2-thienylalanine
       • Semi-qualitative method: phenylalanine >2-4 mg/dL will result to
          bacterial growth indicative of a POS (+) result
  •   Microfluorometric assay – based on the fluorescence complex formed of
      phenylalanine-ninhydrin copper in the presence of dipeptides (L-leucyl-L-
      alanine)
       • Quantitative method: filter paper is pretreated with trichloroacetic acid
          added with ninhydrin, succinate and leucylalanine in the presence of
          copper tartrate and read at excitation and emission wavelengths of
          360nm and 530nm
     HPLC – reference method (1.2 -3.4 mg/dL)
MAPLE SYRUP DISEASE
   DEFECTIVE PROCESS: METABOLISM OF THREE ESSENTIAL
    BRANCHED-CHAINAMINO ACIDS (LEUCINE, ISOLEUCINE AND VALINE)
   DEFECTIVE        ENZYME:        BRANCHED       CHAIN        α-KETO      ACID
    DECARBOXYLASE COMPLEX
•   Burnt sugar odor of urine, breath and skin
•   Screening: Modified Guthrie test – metabolic inhibitor of B. subtilis which is
    4-azaleucine is impregnated in the medium
     • POS (+) for MSUD = bacterial growth

•   Microfluorometric assay using leucine dehydrogenase
     • Filter paper specimen is treated with methanol and acetone to denature
        hemoglobin
     • The NADH fluorescence produced is measured at 450nm; excitation
        wavelength at 360nm
•   Confirmed diagnosis is based on finding increased plasma and urinary levels
    of the three branched-chain amino acids and their ketoacids with LEUCINE
    (highest: above 4mg/dL)
•   Prenatal diagnosis: measuring decarboxylase enzyme concentration in cells
    cultured from amniotic fluid
CYSTINURIA
     DEFECTIVE PROCESS: AMINO ACID TRANSPORT
      SYSTEM RATHER THAN A METABOLIC ENZYME
      DEFICIENCY
  •   20 – 30 fold increase in the urinary excretion of cystine
      as a result of genetic defect in the renal resorptive
      mechanism
  •   Other amino acids excreted: ornithine, lysine and
      arginine
       • Cystine    being relatively insoluble and once
         accumulated will tend to precipitate in the kidney
         tubules forming calculi
  •   Remedy: high fluid intake and alkalinizing the urine:
      penicillin
  •   Diagnosis: Cyanide-nitroprusside (red-purple color)
ARGININOSUCCINIC ACIDURIA AND
CITRULLINEMIA PROCESS: UREA CYCLE
    DEFECTIVE

     DEFECTIVE ENZYME: ARGININOSUCCINIC
      ACID LYASE
  •   Decrease in activity of ASA synthetase 
      Citrullinemia
      • Citrulline is elevated in MS/MS

          • Argininosuccinic aciduria – milder
            elevations
          • Citrullinemia – dramatic elevations

          • * Ornithine and arginine are seen
            increased in older infants
ISOVALERIC ACIDEMIA
  DEFECTIVE     PROCESS: DEGRATIVE
  PATHWAY OF LEUCINE
  DEFICIENCY ENZYME: ISOVALERYL-CoA
  DEHYDROGENASE
  • “Sweaty feet” odor urine

     • Elevations of glycine conjugate: isovaleric
       acid and isovalerylglycine
GENERAL CHARACTERISTICS

   Structure of Proteins
•   PRIMARY
•   SECONDARY
•   TERTIARY
•   QUARTERNARY
FUNCTIONS OF PROTEINS
     1. Enzymatic catalysis
     2. Transport and storage
     3. Coordinated motion
        responsible for movements in the body
         (muscles)
     4. Mechanical support
        support of body - bones and muscles

     5. Generation and transmission of impulses
     6. Control of growth and differentiation
     AA - simplest form of proteins
     20 AA
CHARACTERISTICS OF PROTEINS
     1. Have more members
     2. Fundamental component of protoplasm
     3. Elements in protein
        C, H, O, N (I & Fe)
     4. Proteins are considered macromolecules,
      composed of a number of AA joined together by
      peptide bond or linkage
     5. Only foodstuff when absent in the diet will
      cause death
     6. Utilize in the body for growth
PROTEIN METABOLISM
  GASTRIC

  •   Digestion of protein begins in the stomach
      where the enzyme pepsin is secreted by the
      chief cells as     proenzyme or zymogen
      (inactive form)
  •   Pesinogen – activated by HCL secreted by
      the parietal cells
  •   By autoactivation – pepsin itself stimulates
      its own activation
PROTEIN METABOLISM
     PANCREATIC
  •   Once protein reaches the duedenum, exocrine
      pancreatic secretion: trypsin,chymotrypsin,
      elastase and carboxypeptidase in their inactive
      forms are release
          • Endopeptidase – cleave protein in the
            internal sites
          • Exopeptidase – cleave one amino acid
            from the carboxyl terminus of the
            polypeptide
          Secretin stimulates the pancreas to
            produce a protein-free electrolyte solution
            rich in bicarbonates
PROTEIN METABOLISM
   INTESTINAL
•   This mediated by peptidase produced by the
    mucosal cells
•   Amino peptidases and dipeptidases hydrolyze the
    residual peptides
•   The end products of protein digestion are amino
    acids and some short peptides
AMINO ACID POOL

   Primarily for the           Also for the synthesis of
    synthesis of body            nonprotein nitrogen-
    proteins:                    containing compounds
•   Plasma                   •   Purines
•   Intracellular proteins   •   Pyrimidines
•   Structural proteins      •   Creatine
                             •   Porphyrins
                             •   Histamines
PROTEIN MEASUREMENT

   PLASMA TOTAL                GLOBULIN:
    PROTEIN:                 •   23 – 35 g/L
•   60 – 70 g/L (SI units)   •   2.3 – 3.5 g/dL
•   6.0 – 7.0 g/dL
    (Conventional unit)      FIBRINOGEN:

                             •   2 – 4 g/L
ALBUMIN:
                             •   0.2 – 0.4 g/dL
•   32 – 45 g/L
•   3.2 – 4.5 g/dL
DETERMINATION OF PROTEIN NITROGEN
     KJELDAHL
  •   Reference (standard) method for the determination
      of protein concentration
  •   Liberation the nitrogen content from proteins is
      measured by oxidation with heat at 350oC and
      strong sulfuric acid
  •   Catalysts used during the digestion: copper sulfate,
      mercuric sulfate or selenium oxychloride
          • Nitrogen then is converted to ammonium ion

          • Separated from the digestant by steam
            distillation
          • Ammonium ion is liberated and are measured
            by titration with an alkali, Nesslerization or
   NESSLERIZATION
•   Liberation of ammonium ions with Nessler‟s reagent –
    double iodide of potassium and mercury  dimercuric
    ammonium iodide (yellow to orange brown product
•   Colloidal stabilizer: gum ghatti

BERTHELOT

•   Idophenol reaction
•   Ammonia is allowed to react with alkaline hypochlorite to
    form indophenol blue solution
•   Catalyst: sodium nitroprusside
BIURET REACTION
     Based on the ability of the peptide bonds to react with
      copper ions to form purple “biuret” complex
     Biuret reagent contains:
  •   Copper sulfate – biuret formation
  •   Sodium hydroxide
  •   Rochelle salt (potassium sodium tartrate) – stabilizes
      the copper sulfate
  •   Potassium iodide – keeps copper ions in cupric state
  •   The purple complex is measure at 540 – 560 nm
     Total proteins – measure by allowing to react with the
      biuret reagent
     “Salting-out process” – precipitation of globulins with 22-
      26% sodium sulfate to get the albumin content
FOLIN-CIOCALTEAU METHOD
    based on the ability of phosphotungstomolybdic
    acid (phenol reagent or Folin-Ciocalteau‟s reagent)
    to oxidize the phenolic structures of the amino
    acids tyrosine, phenylalanine, tryptophan and
    histidine.
LOWRY PROTEIN ASSAY
  •   Uses biuret method followed by the
      Folin-Ciocalteau‟s method
  •   Color obtained is enhance and provide a
      more sensitive method
  •   Consistently obtained accurate protein
      determination
COOMASIE BRILLIANT BLUE DYE

•   Free from interferences
•   It can detect proteins as low as 1 ug in
    concentration
NINHYDRIN REACTION
  •   Used to detect peptides and amino acids
      after paper chromatography
  •   Violet color formation upon reaction to
      ninhydrin (tri-keto-hydrindine  hydrate
      and amines
  •   Results are comparable to Coomasie
      dye method
REFRACTOMETRY
•   Measuring refractive index of serum
•   Accurate levels are obtained           at   protein
    concentrations greater than 2.5 g/dL
SPECIFIC GRAVITY

•   Copper sulfate standards    with   known
    specific gravity
•   Measurement of hemoglobin
TURBIDIMETRY

•   Measures total proteins and globulins
    in urine and CSF
•   Proteins       are    precipitated     by
    sulfosalicylic    acids,   trichloroacetic
    acid,        acetic      acid-potassium
    ferricyanide solution
UV ABSORPTION METHOD

•   Proteins absorb UV light at 280 nm
•   Mostly due to the presence of tryptophan,
    phenylalanine and tyrosine
•   Quantifies protein in the range of 0.5 to 1.5
    mg/dL
ELECTROPHORESIS
  Sodium        dodecyl      sulfate     polyacrilamide  gel
  electrophoresis
          • Separates protein according to molecular weight
            and isoelectric focusing which separates proteins
            on the basis of isoelectric poins
  • After separation, proteins are quantified by densitometry
     (preferred method and by elution and spectrophotometry
  Qualitative characterization of proteins may be stained
  with appropriate dyes:
  1. Coomasie brilliant blue

  2. Ponceau S

  3. Amido black

  4. Silver staining - most sensitive and measures proteins
      in nanogram concentration
PRECIPITATION

   Precipitants:
•   Sodium sulfate
•   Ammonium sulfate
•   Methanol
PLASMA PROTEIN

   PRE-ALBUMIN
•   Migrates faster than albumin toward the
    anode
•   Has the ability to bind with thyroxine (TBPA)
    and complex with vitamin A
•   Very rich with tryptophan
•   Marker of nutritional status
•   Crosses the plancenta
ALBUMIN
 •   Single most abundant protein in normal plasma
    • About 2/3 of the total plasma proteins

 • Regulates intravascular oncotic pressure

 • Loss of albumin is seen in ascites, protein
     losing nephropathy and protein losing
     enteropathy
    • Seen in peripheral edema

  Functions of albumin:

 1. Regulation of oncotic pressure

 2. Amino acid reservoir

 3. Transport of small molecules
ALBUMIN
 •   Bounded by thyroxine, bilirubin, penicillin,
     cortisol, estrogen and free fatty acids
 •   Calcium and magnesium
 •   Analbuminemia – absence of albumin in
     the blood
 •   Bisalbuminemia – two separated albumin
     bands after electrophoresis
ALPHA1-ANTITRYPSIN
  •   Major component of the alpha1-globulin
      fraction
          • Acts as protease inhibitor
  •   Combines with and inactivates trypsin and
      elastase
  •   In lungs, elastase is released by the
      neutrophils during inflammatory conditions
      to combat the invading microorganisms
          • Deficiency will result to emphysema
  •   Also an intrinsic factor in homeostatic
      mechanism        modulating       endogenous
      proteolysis with the body
ALPHA2-MACROGLOBULIN
 •   one of the largest non-immunoglobulin
     proteins in the plasma
 •   Rises tenfold or more in nephrotic
     syndrome when other low molecular
     weight proteins are lost
 •   In nephrotic syndrome, the levels of
     alpha2-macroglobulin may be equal to or
     greater than that of albumin (2-3 g/dL)
HAPTOGLOBIN
 • Haptoglobin migrates in the alpha2-region
 • Combines with hemoglobin released by lysis of red
   blood cells in order to preserve body iron and
   protein stores
 • Hemoglobin-haptoglobin complex is then taken by
   the RES where the hemoglobin fraction is broken
   into iron and bilirubin
 Hemoglobinuria vs myoglobinuria:

 • Peroxidase acitivity using dipstick or chemstrips –
   urine specimen
 • Increased or normal free haptoglobinuria will
   indicate myoglobinuria or rhabdomyolysis
BETA-LIPOPROTEIN

   Low-density lipoprotein which has a
    characteristic sharp leading edge and a
    feathery trailing edge
TRANSFERRIN
  •   Also known as siderophilin
  •   Major beta-globulin protein
  •   Normally at 200 to 400 mg/dL
  •   Transport ferric ions from iron stores of
      the intracellular or mucosal ferritin to bone
      marrow where the red blood cells
      precursors and other cells have
      transferrin receptor on their surfaces
  •   Measured in terms of iron-binding
      capacity – seen elevated in anemia
COMPLEMENT

•   Travels with beta-globulins during the
    electrophoresis
•   C3 is decreased in autoimmune diseases
FIBRINOGEN
  •   Most abundant of the coagulation factors
  •   Elevation seen in pregnancies and the
      use of birth control pills
  •   Decreased during the activation of
      coagulation factors
  •   Migrates between beta and gamma
      fractions
  •   Measured by Parfentjev method which
      uses ammonium sulfate and sodium
      chloride
MINOR PROTEINS
  •   Ceruloplasmin      –   Wilson‟s  disease
      (hepatolenticular degeneration)
  •   Gc-globulin – binds with vit D
  •   Hemopexin – prevent excretion of heme
      and iron
  •   Alpha1-acid glycoprotein – increased
      during pregnancy
  •   C-reactive protein – seen in tissue
      necrosis; most sensitive acute phase
      reactant located at chromosome 1

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Amino acids and proteins

  • 1. SUNIL SHAH BOND KING AMINO ACIDS AND PROTEINS
  • 2.
  • 3. BASIC STRUCTURES  An amino acid contains:  a central carbon bonded to a carboxyl group (-COOH),  an amino group (NH2), an  R-group, and  a hydrogen.  The R-group is what varies between the 20 amino acids and gives them unique characteristics.  The covalent bonds between amino acids are called peptide bonds.  It is a bond between the carboxyl group of one amino acid and the amino group of another amino acid.
  • 4. Abbre Full Name Side chain type Remarks v. Very abundant and versatile. It behaves fairly neutrally and can be located in both hydrophilic A Ala Alanine hydrophobic regions on the outside of the protein and hydrophobic interior areas. The sulfur atom binds readily to heavy metal ions. Under oxidizing conditions, two cysteines can be joined together by a disulfide bond to form the amino acid cystine. When cystines are components of a protein, they enforce tertiary structure and makes hydrophobic (Nagano, the protein more resistant to unfolding and C Cys Cysteine 1999) denaturation; disulfide bridges are therefore common in proteins that have to function in harsh environments, digestive enzymes (e.g., pepsin and chymotrypsin), structural proteins (e.g., keratin), and proteins too small to hold their shape on their own (eg. insulin). Behaves similarly to glutamic acid. Carries a hydrophilic acidic group with strong negative charge. Aspartic Usually is located on the outer surface of the protein, D Asp acidic acid making it water-soluble. Binds to positively-charged molecules and ions, often used in enzymes to fix the
  • 5. Side chain Abbrev. Full Name Remarks type Phenylalanine, tyrosine, and tryptophan contain large rigid aromatic group on the side chain. These are the biggest Phenylala *F Phe hydrophobic amino acids. Like isoleucine, leucine and valine, they are nine hydrophobic and tend to orient towards the interior of the folded protein molecule. Because of the two hydrogen atoms at the α carbon, glycine is not optically active. It is the smallest amino acid, rotates easily, G Gly Glycine hydrophobic and adds flexibility to the protein chain. It is able to fit into the tightest spaces (e.g., the triple helix of collagen). In even slightly acidic conditions, protonation of the nitrogen occurs, changing the properties of histidine and the polypeptide as a whole. It is used by many proteins as a *H His Histidine basic regulatory mechanism, changing the conformation and behavior of the polypeptide in acidic regions such as the late endosome or lysosome, enforcing conformation change in enzymes. Isoleucine, leucine and valine have large aliphatic hydrophobic side chains. Their molecules are rigid, and their mutual hydrophobic interactions are important for the correct folding *I Ile Isoleucine hydrophobic of proteins, as these chains tend to be located inside of the protein molecule.
  • 6. Side chain Abbrev. Full Name Remarks type Behaves similarly to arginine. Contains a long flexible side- chain with a positively-charged end. The flexibility of the chain makes lysine and arginine suitable for binding to molecules with many negative charges on their surfaces. (e.g., DNA- *K Lys Lysine basic binding proteins have their active regions rich with arginine and lysine.) The strong charge makes these two amino acids prone to be located on the outer hydrophilic surfaces of the proteins. *L Leu Leucine hydrophobic Behaves similar to isoleucine and valine. Always the first amino acid to be incorporated into a protein; sometimes removed after translation. Like cysteine, it contains sulfur, but with a methyl group instead of hydrogen. *M Met Methionine hydrophobic This methyl group can be activated, and is used in many reactions where a new carbon atom is being added to another molecule. N Asn Asparagine hydrophilic Neutralized version of aspartic acid.
  • 7. Side chain Abbrev. Full Name Remarks type Contains an unusual ring to the N-end amine group, which forces the CO-NH amide sequence into a fixed conformation. Can disrupt protein folding structures like α helix or β sheet, P Pro Proline hydrophobic forcing the desired kink in the protein chain. Common in collagen, where it undergoes a posttranslational modification to hydroxyproline. Uncommon elsewhere. Neutralized version of glutamic acid. Used in proteins and as Q Gln Glutamine hydrophilic a storage for ammonia. *R Arg Arginine Basic Functionally similar to lysine. Serine and threonine have a short group ended with a hydroxyl group. Its hydrogen is easy to remove, so serine S Ser Serine Hydrophilic and threonine often act as hydrogen donors in enzymes. Both are very hydrophilic, therefore the outer regions of soluble proteins tend to be rich with them.
  • 8. Side chain Abbrev. Full Name Remarks type *T Thr Threonine hydrophilic Behaves similarly to serine. Behaves similarly to isoleucine and leucine. *V Val Valine hydrophobic See isoleucine. Behaves similarly to phenylalanine and *W Trp Tryptophan hydrophobic tyrosine (see phenylalanine). Precursor of serotonin. Behaves similarly to phenylalanine and Y Tyr Tyrosine hydrophobic tryptophan (see phenylalanine). Precursor of melanin, epinephrine, and thyroid hormones.
  • 9. GENERALITIES Classification  Neutral • Neutral • Aliphatic • Aromatic • Acidic • Heterocyclic • Basic • S-containing AA
  • 10. GENERALITIES - NEUTRAL A. Aliphatic  Hydroxy Amino Acids – they contain OH group in the side chains 1. Glycine (Gly) (G) – alpha– amino acetic acid  6. Serine (Ser) (S) or alpha – amino β – hydroxy propionic acid 2. Alanine (Ala) (A) – alpha –  7. Threonine (Thr) (T) or alpha – amino propionic acid amino β – hydroxybutyric acid 3. Valine (Val) (V) – alpha– amino – iso – valeric acid 4. Leucine (Leu) (L) – alpha – amino – iso – caproic acid 5. Isoleucine (Ile) (l) – alpha – amino – B – methyl valeric acid  Above = Simple monoamino monocarboxylic acids
  • 11. GENERALITIES  B. Aromatic  C. Heterocyclic AA  8. Phenylalanine (Phe) (F)  10. Tryptophan (Trp) (W) – or alpha – amino – β – alpha – amino β – 3 – indole phenyl propionic acid propionic  - often considered  9. Tyrosine (Tyr) (y) or as aromatic AA since it has parahydroxy aromatic ring in its structure. phenylalanine or alpha –  11. Histidine (His) (H) – amino β – parahydroxy alpha – amino – β - phenylpropionic acid imidazole propionic acid  Histidine is basic in solution on account of the imidazole ring and often considered as Basic AA
  • 12. GENERALITIES  D. Imino Acids  E. „S‟ containing Amino Acids  12. Proline (Pro) (P) or  - contains 2 sulfur containing AA Pyrrolidone – 2 – carboxylic Acid  14. Cysteine (Cys) (C) or alpha –  13. Hydroxyproline (Hyp) or 4 – amino – β – mercaptopropionic Hydroxy pyrrolidone – 2 – acid carboxylic acid  S – S linkage is called a Disulfide bridge  Proline & Hydroxyproline do  15. Methionine (Met) (M) or alpha not have a free _NH2 group but – amino y – methylthio - - butyric only a basic pyrrolidone ring in acid which the Nitrogen of the Imino group is in ring but can still function in the formation of peptides.  Are called Imino Acids.
  • 13. GENERALITIES - ACIDIC  II. Acidic AA  - AA with 2 _COOH groups and 1 _NH2 group  - monoaminodicarboxylic Acids  16. Aspartic Acid (Asp) (P) or alpha – amino succinic acid  Asparagine (Asn) (N) or delta amide of alpha – amino succinic acid  17. Glutamic Acid (Glu) (E) or alpha aminoglutaric acid  Glutamine (Gln) (Q) – amide of glutamic acid or 8 – amide of alpha – amino glutaric acid
  • 14. GENERALITIES - BASIC  III. Basic AA  - AA with 1 – COOH group and 2 – NH2 groups  - Diamino monocarboxylic acids  18. Arginine (Arg) (R) or alpha – amino – 8 – guanidino - valeric acid  19. Lysine (Lys) (K) or alpha – E diamino  8 – hydroxy - - valeric acid  As already mentioned Histidine – is also classified as Basic AA
  • 15. GENERALITIES  Classificationof Amino Acids based on polarity  of the R group: • 4 groups • Polarity  reflects the functional role of AA in protein structure
  • 16. GENERALITIES 1. Non-polar AA • hydrophobic (water hating) • No charge on the ‘R’ group • Examples are: Alanine Methionine Leucine Phenylalanine Isoleucine Tryptophan
  • 17. GENERALITIES  2. Polar AA with (+) ‘R’ group • carries (+) charge • Examples: Histidine Arginine Lysine  3. Polar AA with (-) ‘R’ group • carries (-) charge • Examples: Glutamic Acid Aspartic Acid
  • 18. GENERALITIES  4. Polar AA with no charge  on ‘R’ group • no charge on the ‘R’ group • possess groups  hydroxyl sulfhydryl amide • participate in hydrogen bonding of • protein structure • Examples: Asparagine Glycine Cysteine Tyrosine Serine Threonine
  • 19. GENERALITIES  Zwitterion or dipolar ion:  Zwitter   from German word – means “hybrid”  Zwitter ion (or dipolar ion)   a hybrid molecule containing (+) and (-) ionic groups
  • 20. GENERALITIES AA rarely exist in a neutral form with free carboxylic (-COOH) and free Amino (-NH2) groups Strongly acidic pH (low pH)  AA (+) charged (cation) Strongly alkaline pH (high pH)  AA (-) charged (anion) Each AA has a characteristic pH (e.g. Leucine, pH – 6.0), at which it carries both (+) and (-) charges and exist as zwitterion
  • 21. GENERALITIES  Isoelectric pH (symbol pI) the pH at which a molecule exists as a Zwitterion or dipolar ion and carries no net charge Molecule is electrically neutral
  • 22. GENERALITIES Tryptophan Histidine Arginine Leucine Valine Phenylalanine PVT TIM HALL Lysine Threonine Methionine Isoleucine Essential Amino Acids
  • 23. Essential Amino Acids (Body cannot make these amino acids, they must come from food or amino acid supplements.) Min. Dail Acid y Base # of pathways - One Generate Works Amino Acid Sym Abbr mg Neu. Pathway s With Augments 1 - threonine --> 1 Isoleucine* I Ile 10 n - - muscles isoleucine blood, 1 - keto-isovalerate -- 2 Leucine* L Leu 14 n - - muscle, > leucine hormone herpes, 3 Lysine K Lys 12 B 2 - asparate --> lysine - calcium triglycerides 7 - homoserine --> seleniu hair, skin, 4 Methionine M Met 13 n cysteine methionine m, zinc chelator Phenylalanin 3 - chorismate --> 5 F Phe 14 n tyrosine B6 depression e phenylalanine collagen, 3 - aspartate --> glycine, 6 Threonine T Thr 7 N - tooth threonine serine enamel 1 - chorismate --> niacin, 7 Tryptophan W Trp 3.5 n - depression tryptophan seratonin 8 Valine* V Val 10 n 1 - pyruvate --> valine - - muscles Food Sources: Fish - meat - poultry - cottage cheese - peanuts - lentils A= acid, B= base, N= Neutral, n= non-polar
  • 24. Non-Essential Amino Acids (The body can make these amino acids from the above essential amino acids.) Min. Acid Daily Base # of pathways - One Amino Acid Sym. Abbr mg. Neu. Pathway Generates Works With Augments 4 - valine pyruvate --> 1 Alanine A Ala - n - - - alanine immune, polyamines, 2 Arginine* R Arg - B 4 - citrulline --> arginine zinc (lysine) healing, creatine muscles 3 Asparagine N Asn - N 3 - asparate and ammonia - - CNS Aspartic 4 D Asp - A 3 - glutamate --> aspartate - - CNS, brain Acid homocysteine 5 Cysteine C Cys - N 4 - serine --> cysteine B6, Vit.E skin, hair , taurine Glutamic 3 - ketoglutarate --> glutamine, 6 E Glu - A B6 brain Acid glutamate GABA 7 Glutamine Q Gln - N 2 - glutamate --> glutamine - - brain GABA, 8 Glycine G Gly - N 2 - serine --> glycine glutathione body protein taurine blood, allergy, 9 Histidine* H His - B 1 - histidinol --> histidine histamine - sex hydroxyprolin collagen, 10 Proline P Pro - n 4 - l-glutamine --> proline Vitamin C e elastin 1 - phosphoglycerate --> cysteine, 11 Serine S Ser - N choline blood sugar serine glycine 2 - phenylalanine --> thyroxin, 12 Tyrosine Y Tyr - N B6 thyroid tyrosine melanin * = These are Essential for infants, since their bodies cannot produce them yet.
  • 25. Other Amino Acid Factors Lysine, carnitine --> fat - Carnitine - Car - - methionin Vitamin C butyrobetaine --> metabolism e argenine --> citrulline - Citrulline - Cit - - Ornithine zinc urea cycle --> ornithine Hydroxy Hy proline --> - - - - - Vitamin C collagen proline p hydroxyproline Or argenine --> citrulline - Ornithine - - - - - urea cycle n --> ornithine methionine --> GABA, - Taurine - Tau - - B6 heart, bile cysteine --> taurine glycine The above are precursors for, or important products of, the 20 "true" amino acids listed above.
  • 26. AMINO ACID SYNTHESIS  ALL ARE SYNTHESIZED FROM COMMON METABOLIC INTERMEDIATES  NON-ESSENTIAL  Transamination of -KETOACIDS that are available as common intermediates  All except tyrosine are derived from one of the following common intermediates: pyruvate, oxalacetate, -KG, 3-phosphoglycerate  ESSENTIAL  Their -KETOACIDS are not common intermediates (Enzymes needed to form them are lacking)
  • 27. Amino Acids Glucogenic Glucogenic and Ketogenic A Ketogenic m Non-Essential Alanine Tyroxine i AA Asparagine n o Aspartate A Cysteine c Glutamate i d Glutamine M Glycine e Proline t a Serine b o Essential AA Arginine Isoleucine Leucine l Histidine Phenylalanine Lysine i s Methionine Tryptophan m Threonine Valine Glucogenic – amino acids that give rise to pyruvate and citric acid cycle intermediates that can be turned into glucose Ketogenic – amino acids that give rise to acetoacetate and
  • 29. TYROSINEMIA  DEFECTIVE PROCESS: AMINO ACID TRANSPORT – EXCRETION OF TYROSINE AND TRYPTOPHAN CATABOLITES IN URINE  DEFECTIVE ENZYME: • TYROSINE AMINOTRANSFERASE (II); • 4-HYDROXY-PHENYLPYRUVATE OXIDASE (III); • FUMARYLACETOACETATE HYDROLASE (I)
  • 30. ALKAPTONURIA  DEFECTIVE PROCESS: TYROSINE DEGRADATION  DEFECTIVE ENZYME: HOMOGENTISATE- 1,2-DIOXYGENASE • Original “inborn error of metabolism • Darkening of urine at long standing • OCHRONOSIS – generalized pigmentation of tissues and arthritislike degeneration
  • 31. PHENYLKETONURIA  DEFECTIVE PROCESS: CONVERSION OF PHENYLALANINE TO TYROSINE  DEFECTIVE ENZYME: PHENYLALANINE HYDROXYLASE (Phenylalanine-4-mono-oxygenase)  An autosomal recessive trait – urine has a musty odor  Compounds seen in both urine and blood:  Phenylpyruvic acid – primary catabolite  Phenyllactic acid – product of deaminzation  Phenylacetylglutamine – produced from oxidation of phenylpyruvic acid
  • 32. PHENYLKETONURIA  NOT RESPONSIVE TO DIET: DEFICIENCY OF ENZYME S NEEDED FOR THE REGENERATION AND SYNTHESIS OF TETRAHYDROBIOPTERIN (BH4) • High phenylalanine and deficiency of production of neurotransmitters from tyrosine and tryptophan • Administration of L-dopa and 5-OH tryptophan  SCREENING: GUTHRIE BACTERIAL INHIBITION ASSAY – B. subtilis + β2-thienylalanine • Semi-qualitative method: phenylalanine >2-4 mg/dL will result to bacterial growth indicative of a POS (+) result • Microfluorometric assay – based on the fluorescence complex formed of phenylalanine-ninhydrin copper in the presence of dipeptides (L-leucyl-L- alanine) • Quantitative method: filter paper is pretreated with trichloroacetic acid added with ninhydrin, succinate and leucylalanine in the presence of copper tartrate and read at excitation and emission wavelengths of 360nm and 530nm  HPLC – reference method (1.2 -3.4 mg/dL)
  • 33. MAPLE SYRUP DISEASE  DEFECTIVE PROCESS: METABOLISM OF THREE ESSENTIAL BRANCHED-CHAINAMINO ACIDS (LEUCINE, ISOLEUCINE AND VALINE)  DEFECTIVE ENZYME: BRANCHED CHAIN α-KETO ACID DECARBOXYLASE COMPLEX • Burnt sugar odor of urine, breath and skin • Screening: Modified Guthrie test – metabolic inhibitor of B. subtilis which is 4-azaleucine is impregnated in the medium • POS (+) for MSUD = bacterial growth • Microfluorometric assay using leucine dehydrogenase • Filter paper specimen is treated with methanol and acetone to denature hemoglobin • The NADH fluorescence produced is measured at 450nm; excitation wavelength at 360nm • Confirmed diagnosis is based on finding increased plasma and urinary levels of the three branched-chain amino acids and their ketoacids with LEUCINE (highest: above 4mg/dL) • Prenatal diagnosis: measuring decarboxylase enzyme concentration in cells cultured from amniotic fluid
  • 34. CYSTINURIA  DEFECTIVE PROCESS: AMINO ACID TRANSPORT SYSTEM RATHER THAN A METABOLIC ENZYME DEFICIENCY • 20 – 30 fold increase in the urinary excretion of cystine as a result of genetic defect in the renal resorptive mechanism • Other amino acids excreted: ornithine, lysine and arginine • Cystine being relatively insoluble and once accumulated will tend to precipitate in the kidney tubules forming calculi • Remedy: high fluid intake and alkalinizing the urine: penicillin • Diagnosis: Cyanide-nitroprusside (red-purple color)
  • 35. ARGININOSUCCINIC ACIDURIA AND CITRULLINEMIA PROCESS: UREA CYCLE  DEFECTIVE  DEFECTIVE ENZYME: ARGININOSUCCINIC ACID LYASE • Decrease in activity of ASA synthetase  Citrullinemia • Citrulline is elevated in MS/MS • Argininosuccinic aciduria – milder elevations • Citrullinemia – dramatic elevations • * Ornithine and arginine are seen increased in older infants
  • 36. ISOVALERIC ACIDEMIA DEFECTIVE PROCESS: DEGRATIVE PATHWAY OF LEUCINE DEFICIENCY ENZYME: ISOVALERYL-CoA DEHYDROGENASE • “Sweaty feet” odor urine • Elevations of glycine conjugate: isovaleric acid and isovalerylglycine
  • 37.
  • 38. GENERAL CHARACTERISTICS  Structure of Proteins • PRIMARY • SECONDARY • TERTIARY • QUARTERNARY
  • 39. FUNCTIONS OF PROTEINS  1. Enzymatic catalysis  2. Transport and storage  3. Coordinated motion  responsible for movements in the body (muscles)  4. Mechanical support  support of body - bones and muscles  5. Generation and transmission of impulses  6. Control of growth and differentiation  AA - simplest form of proteins  20 AA
  • 40. CHARACTERISTICS OF PROTEINS  1. Have more members  2. Fundamental component of protoplasm  3. Elements in protein  C, H, O, N (I & Fe)  4. Proteins are considered macromolecules, composed of a number of AA joined together by peptide bond or linkage  5. Only foodstuff when absent in the diet will cause death  6. Utilize in the body for growth
  • 41. PROTEIN METABOLISM GASTRIC • Digestion of protein begins in the stomach where the enzyme pepsin is secreted by the chief cells as proenzyme or zymogen (inactive form) • Pesinogen – activated by HCL secreted by the parietal cells • By autoactivation – pepsin itself stimulates its own activation
  • 42. PROTEIN METABOLISM  PANCREATIC • Once protein reaches the duedenum, exocrine pancreatic secretion: trypsin,chymotrypsin, elastase and carboxypeptidase in their inactive forms are release • Endopeptidase – cleave protein in the internal sites • Exopeptidase – cleave one amino acid from the carboxyl terminus of the polypeptide Secretin stimulates the pancreas to produce a protein-free electrolyte solution rich in bicarbonates
  • 43. PROTEIN METABOLISM  INTESTINAL • This mediated by peptidase produced by the mucosal cells • Amino peptidases and dipeptidases hydrolyze the residual peptides • The end products of protein digestion are amino acids and some short peptides
  • 44. AMINO ACID POOL  Primarily for the  Also for the synthesis of synthesis of body nonprotein nitrogen- proteins: containing compounds • Plasma • Purines • Intracellular proteins • Pyrimidines • Structural proteins • Creatine • Porphyrins • Histamines
  • 45. PROTEIN MEASUREMENT  PLASMA TOTAL  GLOBULIN: PROTEIN: • 23 – 35 g/L • 60 – 70 g/L (SI units) • 2.3 – 3.5 g/dL • 6.0 – 7.0 g/dL (Conventional unit) FIBRINOGEN: • 2 – 4 g/L ALBUMIN: • 0.2 – 0.4 g/dL • 32 – 45 g/L • 3.2 – 4.5 g/dL
  • 46. DETERMINATION OF PROTEIN NITROGEN  KJELDAHL • Reference (standard) method for the determination of protein concentration • Liberation the nitrogen content from proteins is measured by oxidation with heat at 350oC and strong sulfuric acid • Catalysts used during the digestion: copper sulfate, mercuric sulfate or selenium oxychloride • Nitrogen then is converted to ammonium ion • Separated from the digestant by steam distillation • Ammonium ion is liberated and are measured by titration with an alkali, Nesslerization or
  • 47. NESSLERIZATION • Liberation of ammonium ions with Nessler‟s reagent – double iodide of potassium and mercury  dimercuric ammonium iodide (yellow to orange brown product • Colloidal stabilizer: gum ghatti BERTHELOT • Idophenol reaction • Ammonia is allowed to react with alkaline hypochlorite to form indophenol blue solution • Catalyst: sodium nitroprusside
  • 48. BIURET REACTION  Based on the ability of the peptide bonds to react with copper ions to form purple “biuret” complex  Biuret reagent contains: • Copper sulfate – biuret formation • Sodium hydroxide • Rochelle salt (potassium sodium tartrate) – stabilizes the copper sulfate • Potassium iodide – keeps copper ions in cupric state • The purple complex is measure at 540 – 560 nm  Total proteins – measure by allowing to react with the biuret reagent  “Salting-out process” – precipitation of globulins with 22- 26% sodium sulfate to get the albumin content
  • 49. FOLIN-CIOCALTEAU METHOD  based on the ability of phosphotungstomolybdic acid (phenol reagent or Folin-Ciocalteau‟s reagent) to oxidize the phenolic structures of the amino acids tyrosine, phenylalanine, tryptophan and histidine.
  • 50. LOWRY PROTEIN ASSAY • Uses biuret method followed by the Folin-Ciocalteau‟s method • Color obtained is enhance and provide a more sensitive method • Consistently obtained accurate protein determination
  • 51. COOMASIE BRILLIANT BLUE DYE • Free from interferences • It can detect proteins as low as 1 ug in concentration
  • 52. NINHYDRIN REACTION • Used to detect peptides and amino acids after paper chromatography • Violet color formation upon reaction to ninhydrin (tri-keto-hydrindine hydrate and amines • Results are comparable to Coomasie dye method
  • 53. REFRACTOMETRY • Measuring refractive index of serum • Accurate levels are obtained at protein concentrations greater than 2.5 g/dL
  • 54. SPECIFIC GRAVITY • Copper sulfate standards with known specific gravity • Measurement of hemoglobin
  • 55. TURBIDIMETRY • Measures total proteins and globulins in urine and CSF • Proteins are precipitated by sulfosalicylic acids, trichloroacetic acid, acetic acid-potassium ferricyanide solution
  • 56. UV ABSORPTION METHOD • Proteins absorb UV light at 280 nm • Mostly due to the presence of tryptophan, phenylalanine and tyrosine • Quantifies protein in the range of 0.5 to 1.5 mg/dL
  • 57. ELECTROPHORESIS Sodium dodecyl sulfate polyacrilamide gel electrophoresis • Separates protein according to molecular weight and isoelectric focusing which separates proteins on the basis of isoelectric poins • After separation, proteins are quantified by densitometry (preferred method and by elution and spectrophotometry Qualitative characterization of proteins may be stained with appropriate dyes: 1. Coomasie brilliant blue 2. Ponceau S 3. Amido black 4. Silver staining - most sensitive and measures proteins in nanogram concentration
  • 58. PRECIPITATION  Precipitants: • Sodium sulfate • Ammonium sulfate • Methanol
  • 59. PLASMA PROTEIN  PRE-ALBUMIN • Migrates faster than albumin toward the anode • Has the ability to bind with thyroxine (TBPA) and complex with vitamin A • Very rich with tryptophan • Marker of nutritional status • Crosses the plancenta
  • 60. ALBUMIN • Single most abundant protein in normal plasma • About 2/3 of the total plasma proteins • Regulates intravascular oncotic pressure • Loss of albumin is seen in ascites, protein losing nephropathy and protein losing enteropathy • Seen in peripheral edema  Functions of albumin: 1. Regulation of oncotic pressure 2. Amino acid reservoir 3. Transport of small molecules
  • 61. ALBUMIN • Bounded by thyroxine, bilirubin, penicillin, cortisol, estrogen and free fatty acids • Calcium and magnesium • Analbuminemia – absence of albumin in the blood • Bisalbuminemia – two separated albumin bands after electrophoresis
  • 62. ALPHA1-ANTITRYPSIN • Major component of the alpha1-globulin fraction • Acts as protease inhibitor • Combines with and inactivates trypsin and elastase • In lungs, elastase is released by the neutrophils during inflammatory conditions to combat the invading microorganisms • Deficiency will result to emphysema • Also an intrinsic factor in homeostatic mechanism modulating endogenous proteolysis with the body
  • 63. ALPHA2-MACROGLOBULIN • one of the largest non-immunoglobulin proteins in the plasma • Rises tenfold or more in nephrotic syndrome when other low molecular weight proteins are lost • In nephrotic syndrome, the levels of alpha2-macroglobulin may be equal to or greater than that of albumin (2-3 g/dL)
  • 64. HAPTOGLOBIN • Haptoglobin migrates in the alpha2-region • Combines with hemoglobin released by lysis of red blood cells in order to preserve body iron and protein stores • Hemoglobin-haptoglobin complex is then taken by the RES where the hemoglobin fraction is broken into iron and bilirubin Hemoglobinuria vs myoglobinuria: • Peroxidase acitivity using dipstick or chemstrips – urine specimen • Increased or normal free haptoglobinuria will indicate myoglobinuria or rhabdomyolysis
  • 65. BETA-LIPOPROTEIN  Low-density lipoprotein which has a characteristic sharp leading edge and a feathery trailing edge
  • 66. TRANSFERRIN • Also known as siderophilin • Major beta-globulin protein • Normally at 200 to 400 mg/dL • Transport ferric ions from iron stores of the intracellular or mucosal ferritin to bone marrow where the red blood cells precursors and other cells have transferrin receptor on their surfaces • Measured in terms of iron-binding capacity – seen elevated in anemia
  • 67. COMPLEMENT • Travels with beta-globulins during the electrophoresis • C3 is decreased in autoimmune diseases
  • 68. FIBRINOGEN • Most abundant of the coagulation factors • Elevation seen in pregnancies and the use of birth control pills • Decreased during the activation of coagulation factors • Migrates between beta and gamma fractions • Measured by Parfentjev method which uses ammonium sulfate and sodium chloride
  • 69. MINOR PROTEINS • Ceruloplasmin – Wilson‟s disease (hepatolenticular degeneration) • Gc-globulin – binds with vit D • Hemopexin – prevent excretion of heme and iron • Alpha1-acid glycoprotein – increased during pregnancy • C-reactive protein – seen in tissue necrosis; most sensitive acute phase reactant located at chromosome 1